Organization · Type 2 NPI
Shalom Enterprise
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lake Havasu City, AZ
Practice location
3768 Bear Dr
Lake Havasu City, AZ 86406-4377
Mailing address
18473 W Ivy Ln
Surprise, AZ 85388-2349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1861340143
Shalom Enterprise's National Provider Identifier is 1861340143, issued on Mar 20, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on May 19, 2026.